| NPI | 1932695129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH16298) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL IMH14504) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2022-12-06 |